股神经阻滞麻醉及肿胀麻醉下激光腔内凝固治疗下肢静脉曲张的临床分析  

Treatment of varicose veins of lower limbs by laser cavity coagulation under femoral nerve block anesthesia and tumescent anesthesia

作　　者：朱志刚 陈磊[1] Zhi-gang Zhu;Lei Chen(Department of Interventional Vascular Surgery,Suzhou Hospital Affiliated to Nanjing Medical University,Suzhou,Jiangsu 215001,China)

机构地区：[1]南京医科大学附属苏州医院介入血管外科,江苏苏州215001

出　　处：《中国现代医学杂志》2018年第34期113-115,共3页China Journal of Modern Medicine

摘　　要：目的探讨股神经阻滞麻醉及肿胀麻醉下激光腔内凝固治疗下肢静脉曲张的疗效。方法选取该院60例下肢静脉曲张患者随机分为股神经阻滞麻醉及肿胀麻醉下激光腔内凝固治疗组(A组)和传统脊椎麻醉下高位结扎治疗组(B组)。比较两组患者术中疼痛评分、手术时间、住院时间、临床治疗效果。结果两组术中疼痛评分比较,差异无统计学意义(P>0.05),手术时间及住院时间比较,差异有统计学意义(P <0.05),A组比B组减少。A组患者治疗后总有效率96.7%高于B组总有效率80.0%。结论股神经阻滞麻醉及肿胀麻醉下激光腔内凝固治疗下肢大隐静脉曲张具有疗效明确,安全性高,并发症少,住院时间缩短的优点,具有较高临床推广价值。Objective To investigate the effect of laser cavity coagulation under femoral nerve block anesthesia and tumescent anesthesia for varicose veins of lower limbs.Methods Sixty cases of varicose veins in Suzhou Hospital Affiliated to Nanjing Medical University were randomly divided into two groups,i.e.a group of laser cavity coagulation treatment under femoral nerve block anesthesia and swelling anesthesia(group A),and a group of high ligation treatment under traditional lumbar anesthesia(group B).The pain score,operation time,hospitalization time and clinical therapeutic effect of the two groups were compared.Results There was no significant difference in the pain score between the two groups(P>0.05).The operation time and hospitalization time in the group A were significantly shorter that those in the group B(P<0.05).The total effective rate after treatment in the group A(96.7%)was significantly higher than that of the group B(80.0%).Conclusions The treatment of varicose great saphenous veins of lower extremities by laser cavity coagulation under femoral nerve block anesthesia and tumescent anesthesia has the advantages of clear curative effect,high safety,few complications and shorter hospitalization time,hence it is of high clinical value.

关 键 词：静脉曲张 神经肌肉阻滞 激光腔内凝固治疗/血管内手术 

分 类 号：R654.3[医药卫生—外科学] R614.4[医药卫生—临床医学]